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September 2020 Briefing – Surgery

Here are what the editors at HealthDay consider to be the most important developments in Surgery for September 2020. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Surgeon Charged With Aggravated Assault Over Windpipe Transplants

WEDNESDAY, Sept. 30, 2020 (HealthDay News) — Charges of aggravated assault have been filed against a surgeon once hailed for creating the world’s first windpipe partially made from a patient’s own stem cells, a Swedish prosecutor says.

AP News Article

Hospital Admissions Not Related to COVID-19 Fell in Early 2020

WEDNESDAY, Sept. 30, 2020 (HealthDay News) — Non-COVID-19 hospital admissions decreased considerably with the onset of COVID-19, with declines generally similar across patient demographic subgroups from February to April 2020, according to a report published online Sept. 24 in Health Affairs.

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Young Women Benefit From Surgery for Breast Asymmetry

TUESDAY, Sept. 29, 2020 (HealthDay News) — Surgical treatment of breast asymmetry in young women yields significant and sustained improvements in psychosocial quality of life, according to a study published in the October issue of Plastic and Reconstructive Surgery.

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Thousands of Donated Corneas From Gay, Bisexual Men Rejected

TUESDAY, Sept. 29, 2020 (HealthDay News) — An estimated 1,558 to 3,217 corneal donations were disqualified in 2018 because of federal regulations prohibiting corneal donation by men who have sex with men (MSM), according to a study published online Sept. 24 in JAMA Ophthalmology.

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New FDA Applications for Opioids Often Based on Short Trials

TUESDAY, Sept. 29, 2020 (HealthDay News) — New drug applications (NDAs) for prescription opioids for pain have been based on pivotal trials of short or intermediate duration, often in narrowly defined pain populations, according to a study published online Sept. 29 in the Annals of Internal Medicine.

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Health Care Use, Costs Increase 20-Fold After Firearm Injury

TUESDAY, Sept. 29, 2020 (HealthDay News) — Actual health care costs increase up to 20-fold in the six months after a gunshot injury versus the six months before, according to a study published online Sept. 29 in the Annals of Internal Medicine.

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Private Health Plans Pay Hospitals 247 Percent of Medicare

MONDAY, Sept. 28, 2020 (HealthDay News) — During 2018, prices paid to hospitals by privately insured patients averaged 247 percent of what Medicare would have paid, according to a study from the RAND Corporation.

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Company Pays $60 Million to Settle Pelvic Mesh Case

MONDAY, Sept. 28, 2020 (HealthDay News) — A company has agreed to pay $60 million to settle charges by U.S. state attorneys general that it failed to adequately inform women of dangerous side effects associated with permanent pelvic mesh devices.

CBS News Article

14 Novel Loci Identified for Abdominal Aortic Aneurysm

MONDAY, Sept. 28, 2020 (HealthDay News) — In a genome-wide association study (GWAS), published online Sept. 28 in Circulation, researchers identified 14 novel loci for abdominal aortic aneurysm (AAA).

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Metabolic Surgery May Cut Risk for Cardiovascular Events, Death

MONDAY, Sept. 28, 2020 (HealthDay News) — Metabolic surgery for patients with morbid obesity and pharmacologically treated hypertension is associated with a lower risk for major adverse cardiovascular events (MACE) and all-cause mortality versus individuals with hypertension from the general population, according to a study published online Sept. 15 in PLOS Medicine.

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Poorer Exercise Capacity Persists With Ventricular Septal Defects

FRIDAY, Sept. 25, 2020 (HealthDay News) — As they get older, patients with surgically closed or unrepaired congenital ventricular septal defects (VSDs) have poorer exercise capacity than their healthy peers, according to a study published online Sept. 23 in the Journal of the American Heart Association.

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FDA Requiring Labeling Changes to Benzodiazepine Prescribing Information

THURSDAY, Sept. 24, 2020 (HealthDay News) — In response to reports of misuse and abuse of benzodiazepines, the U.S. Food and Drug Administration is now requiring class-wide labeling changes to the prescribing information, the agency announced yesterday.

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Negative Pressure Does Not Cut C-Section Infection Risk in Obese

WEDNESDAY, Sept. 23, 2020 (HealthDay News) — Compared with standard wound care, prophylactic negative pressure wound therapy does not lower the risk for surgical-site infection in obese women following cesarean delivery, according to a study published in the Sept. 22/29 issue of the Journal of the American Medical Association.

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Mental Illness Recognition Up in U.K. General Hospital Admissions

TUESDAY, Sept. 22, 2020 (HealthDay News) — From 2006 to 2017, there was improvement in the sensitivity for recording of severe mental illness (SMI) diagnosis in English general hospitals, but less accurate diagnostic recording was seen for some groups including ethnic minorities, according to a study published online Sept. 17 in PLOS Medicine.

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Injuries Associated With Glass Tables Common in U.S.

MONDAY, Sept. 21, 2020 (HealthDay News) — Injuries associated with glass tables are common, and more than half are attributed to faulty tables, according to a study recently published in the American Journal of Surgery.

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Hip Implant Survival Tied to Implant Choice

MONDAY, Sept. 21, 2020 (HealthDay News) — Between-hospital variation in survival rates of total hip replacement (THR) may be due to implant choice, according to a U.K. study published online Aug. 31 in PLOS Medicine.

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Severely Obese Heart Donors Not Tied to Adverse Transplant Outcomes

WEDNESDAY, Sept. 16, 2020 (HealthDay News) — Severe obesity in organ donors is not associated with adverse heart transplant outcomes, according to a study published online Sept. 16 in Circulation: Heart Failure.

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Eflornithine + Sulindac Shows No Benefit in Adenomatous Polyposis

TUESDAY, Sept. 15, 2020 (HealthDay News) — For patients with familial adenomatous polyposis, the incidence of disease progression is not statistically significantly lower with the combination of eflornithine and sulindac versus either eflornithine or sulindac alone, according to a study published in the Sept. 10 issue of the New England Journal of Medicine.

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Clinical Score Predicts Poor Pain Control After Spine Surgery

TUESDAY, Sept. 15, 2020 (HealthDay News) — A score based on seven variables can accurately predict the probability of poorly controlled pain after elective spine surgery, according to a study published online Sept. 15 in the Journal of Neurosurgery: Spine.

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Among Hospital Patients, Children Less Likely to Carry SARS-CoV-2

MONDAY, Sept. 14, 2020 (HealthDay News) — Among hospitalized patients without any severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-associated symptoms, children are less likely than adults to test positive for the infection, according to a research letter published online Sept. 14 in JAMA Pediatrics.

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Enhanced Recovery Approach Aids Cesarean Birth Outcomes

FRIDAY, Sept. 11, 2020 (HealthDay News) — An enhanced recovery after surgery (ERAS) program for cesarean delivery is associated with improved outcomes, according to a study published online Sept. 10 in Obstetrics & Gynecology.

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ATV Accidents in Children Most Often Result in Head, Neck Injuries

TUESDAY, Sept. 8, 2020 (HealthDay News) — Head and neck injuries as a result of all-terrain vehicle (ATV) accidents remain common among children, according to a study published Aug. 10 in Clinical Pediatrics.

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Surgery May Be Viable Option for Treating Obstructive Sleep Apnea

TUESDAY, Sept. 8, 2020 (HealthDay News) — Combined palatal and tongue surgery reduces the number of apnea and hypopnea events in adults with obstructive sleep apnea (OSA) for whom conventional therapy has failed, according to a preliminary study published online Sept. 4 in the Journal of the American Medical Association.

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Long-Term Outcomes Stable After Breast Reconstruction

THURSDAY, Sept. 3, 2020 (HealthDay News) — Prosthetic breast reconstruction outcomes do not deteriorate over time, according to a study published online in the September issue of Plastic and Reconstructive Surgery.

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No Link Between Hyperthyroidism Treatment, Solid Cancer Death

WEDNESDAY, Sept. 2, 2020 (HealthDay News) — There is no association between treatment type for hyperthyroidism and later risk of solid cancer mortality, according to a study published online July 23 in JAMA Network Open.

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Emergency Visits for E-Scooter Injuries Up From 2014 to 2019

WEDNESDAY, Sept. 2, 2020 (HealthDay News) — The incidence of emergency department visits for electric scooter (e-scooter) injuries increased from 2014 to 2019, according to a research letter published online Aug. 31 in JAMA Network Open.

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Sex-Disparities Exist in Liver Transplant Allocation

WEDNESDAY, Sept. 2, 2020 (HealthDay News) — Women are more likely than men to die waiting for a liver transplant, according to a study recently published in JAMA Surgery.

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Workplace Climate Drives Nurses’ Perception of Burnout

TUESDAY, Sept. 1, 2020 (HealthDay News) — Workplace climate is the factor most associated with burnout in nurses, according to a study published Sept. 1 in the American Journal of Critical Care.

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Consensus Statements Issued for Adult Cochlear Implantation

TUESDAY, Sept. 1, 2020 (HealthDay News) — Consensus statements have been developed for cochlear implantation among adults with sensorineural hearing loss (SNHL); the systematic review and accompanying consensus statements were published online Aug. 27 in JAMA Otolaryngology-Head & Neck Surgery.

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